ATI RN MATERNAL NEWBORN OB
PROCTORED RETAKE V2 EXAM 2023
WITH NGN 70 Questions and Ansẉers
with
Expert-Verified Explanation 2026 update
This Exam contains:
Guarantee passing score
70 Questions and Ansẉers
format set of multiple-choice
, Expert-Verified Explanation
Verified ẉith trusted textbooks
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A nurse on the postpartum unit is caring for a client following a cesarean birth.
Which of the following assessments is the nurse's priority?
A) Pain level
B) Amount of lochia
C) Bowel sounds
D) Incision site
Correct answerB
Expert-Explanation Using the ABCs (airway, breathing, circulation) framework in
the immediate postpartum period, the priority is assessing for hemorrhage. The
greatest risk to a client post-cesarean is bleeding. While pain, bowel sounds,
and incision sites are important, the amount of lochia provides direct data
about uterine tone and blood loss. The nurse should monitor for excessive
bleeding (soaking a pad in 15 minutes or less) which indicates postpartum
hemorrhage .
Question 2
A nurse is caring for a client who is in labor and whose fetus is in the right
occiput posterior (ROP) position. The client is dilated to 8 cm and reports
intense back pain. Which of the following actions should the nurse take?
A) Encourage the client to ambulate
B) Apply sacral counterpressure
C) Place the client in a supine position
D) Administer an opioid analgesic
Correct answerB
Expert-Explanation The ROP position causes the fetal head to press against the
mother's sacrum, resulting in severe "back labor." Applying firm pressure to the
sacral area helps relieve this discomfort by counteracting the pressure of the
fetal head. Ambulation may increase discomfort, supine position can cause
, supine hypotension, and while opioids help pain, non-pharmacological
interventions like counterpressure should be offered first .
Question 3
A nurse is providing discharge teaching to a client who is 24 hours postpartum
and has decided not to breastfeed. Which of the following instructions should
the nurse include to suppress lactation?
A) "Pump your breasts twice daily to relieve engorgement."
B) "Apply ice packs to your breasts and wear a supportive bra."
C) "Shower with warm water running directly over your breasts."
D) "Massage your breasts frequently throughout the day."
Correct answerB
Expert-Explanation For clients who are not breastfeeding, lactation suppression
is achieved by decreasing stimulation to the breasts. Ice packs help reduce
swelling and discomfort, while a snug, supportive bra minimizes movement and
stimulation. Warm water and massage increase blood flow and milk production.
Pumping will stimulate prolactin release and maintain milk supply .
Question 4
A nurse is assessing a client who is at 32 weeks of gestation and is receiving
magnesium sulfate via continuous IV infusion for preeclampsia. Which of the
following findings should the nurse report to the provider immediately?
A) Blood pressure 150/100 mm Hg
B) Urinary output 35 mL/hr
C) Respiratory rate 10/min
D) Decrease in contraction frequency
Correct answerC
Expert-Explanation Magnesium sulfate toxicity suppresses the central nervous
system. A respiratory rate of less than 12/min is a sign of toxicity and can
precede respiratory arrest. The antidote is calcium gluconate. While elevated BP
and low urine output are concerns in preeclampsia, the respiratory rate
indicates a life-threatening emergency that requires immediate intervention .
Question 5
A nurse is reinforcing teaching about newborn umbilical cord care with a client
who is postpartum. Which of the following statements by the client indicates an
understanding of the instructions?
A) "I will clean the cord with alcohol after each diaper change."
B) "I will cover the cord with the diaper to keep it dry."
C) "I will report any drainage from my baby's umbilical cord."
PROCTORED RETAKE V2 EXAM 2023
WITH NGN 70 Questions and Ansẉers
with
Expert-Verified Explanation 2026 update
This Exam contains:
Guarantee passing score
70 Questions and Ansẉers
format set of multiple-choice
, Expert-Verified Explanation
Verified ẉith trusted textbooks
───────────────────────────────────────────────────────
─
A nurse on the postpartum unit is caring for a client following a cesarean birth.
Which of the following assessments is the nurse's priority?
A) Pain level
B) Amount of lochia
C) Bowel sounds
D) Incision site
Correct answerB
Expert-Explanation Using the ABCs (airway, breathing, circulation) framework in
the immediate postpartum period, the priority is assessing for hemorrhage. The
greatest risk to a client post-cesarean is bleeding. While pain, bowel sounds,
and incision sites are important, the amount of lochia provides direct data
about uterine tone and blood loss. The nurse should monitor for excessive
bleeding (soaking a pad in 15 minutes or less) which indicates postpartum
hemorrhage .
Question 2
A nurse is caring for a client who is in labor and whose fetus is in the right
occiput posterior (ROP) position. The client is dilated to 8 cm and reports
intense back pain. Which of the following actions should the nurse take?
A) Encourage the client to ambulate
B) Apply sacral counterpressure
C) Place the client in a supine position
D) Administer an opioid analgesic
Correct answerB
Expert-Explanation The ROP position causes the fetal head to press against the
mother's sacrum, resulting in severe "back labor." Applying firm pressure to the
sacral area helps relieve this discomfort by counteracting the pressure of the
fetal head. Ambulation may increase discomfort, supine position can cause
, supine hypotension, and while opioids help pain, non-pharmacological
interventions like counterpressure should be offered first .
Question 3
A nurse is providing discharge teaching to a client who is 24 hours postpartum
and has decided not to breastfeed. Which of the following instructions should
the nurse include to suppress lactation?
A) "Pump your breasts twice daily to relieve engorgement."
B) "Apply ice packs to your breasts and wear a supportive bra."
C) "Shower with warm water running directly over your breasts."
D) "Massage your breasts frequently throughout the day."
Correct answerB
Expert-Explanation For clients who are not breastfeeding, lactation suppression
is achieved by decreasing stimulation to the breasts. Ice packs help reduce
swelling and discomfort, while a snug, supportive bra minimizes movement and
stimulation. Warm water and massage increase blood flow and milk production.
Pumping will stimulate prolactin release and maintain milk supply .
Question 4
A nurse is assessing a client who is at 32 weeks of gestation and is receiving
magnesium sulfate via continuous IV infusion for preeclampsia. Which of the
following findings should the nurse report to the provider immediately?
A) Blood pressure 150/100 mm Hg
B) Urinary output 35 mL/hr
C) Respiratory rate 10/min
D) Decrease in contraction frequency
Correct answerC
Expert-Explanation Magnesium sulfate toxicity suppresses the central nervous
system. A respiratory rate of less than 12/min is a sign of toxicity and can
precede respiratory arrest. The antidote is calcium gluconate. While elevated BP
and low urine output are concerns in preeclampsia, the respiratory rate
indicates a life-threatening emergency that requires immediate intervention .
Question 5
A nurse is reinforcing teaching about newborn umbilical cord care with a client
who is postpartum. Which of the following statements by the client indicates an
understanding of the instructions?
A) "I will clean the cord with alcohol after each diaper change."
B) "I will cover the cord with the diaper to keep it dry."
C) "I will report any drainage from my baby's umbilical cord."
